Journal of Maternal and Child Health Sciences (JMCHS) Volume 5.
Edition 1.
June 2025 DOI: 10.
36086/maternalandchild.
The Effect of Consumption of JAKATE Cokkies (Corn.
Green Beans.
Tempe.
on the Nutritional Status of Toddlers Rosalinna 1.
Ari Kurniarum 1 .
Paryono 1 Department of Midwifery.
Surakarta Health Polytechnic .
Central Java.
Indonesia Corresponding author:
Name: Rosalinna Address : Jl Kesatrian N0 3 PO BOX 180 Danguran Klaten selatan Klaten Jawa Tengah E-mail :
rosalinasetianto@gmail.
Abstract In Indonesia, the problem of nutrition in toddlers is still a public health problem, especially in areas with low levels of nutrition.
The purpose of this study was to see how Cokkies JAKATE .
orn, green beans, and tempe.
given as additional food affects the health of toddlers aged 24 to 59 months who are malnourished.
In Ngrundul Village.
Kebonarum District.
Klaten Regency, there were 50 toddlers involved in this study, which was conducted using a quantitative approach with a single-group pretestposttest design.
Data were collected through anthropometric measurements before and after the intervention, and the Wilcoxon statistical test was used to analyze it.
The results showed that after the 14-day intervention, the toddlers' weight increased by an average of 0.
49 kg and the average height 22 cm, with a p value of 0.
05 each.
This shows that the provision of Cokkies JAKATE has a significant impact on improving toddler nutrition.
Foods such as green beans, corn, and tempeh contain vegetable protein, vitamins, and minerals that can help growth and increase weight quickly.
This study shows that the use of local supplementary food can be an effective method to prevent malnutrition in children.
To ensure that similar programs are successful at the community level, long-term implementation and sustainability monitoring are essential.
Keywords: Cookies, nutritional status, toddler
INTRODUCTION
Nutrition plays a vital role in toddler development, affecting physical, cognitive, and emotional growth.
Protein intake, along with vitamins A and C, has been shown to significantly correlate with toddler growth and development.
These nutrients are essential for brain development and overall physical growth (Awalia et al.
, 2.
Malnutrition can be caused by deficiencies in macronutrients such as carbohydrates .
and protein .
uilding material.
Underweight, wasting, and stunting .
ow height for ag.
(Haldar et al.
, 2.
According to the latest estimates from UNICEF and WHO, around 45.
4 million children under five worldwide are wasted, and more than 340 million children suffer from one or more micronutrient deficiencies (UNICEF and WHO, 2.
Nationally, the prevalence of nutritional problems in toddlers in Indonesia is still high.
Based on the 2022 Indonesian Nutritional Status Survey (SSGI) , the prevalence of wasting in toddlers increased from 7.
7%, while the prevalence of malnutrition increased to 17.
1% (Ministry of Health of the Republic of Indonesia, 2.
In addition.
Indonesia still faces multiple nutritional problems.
On the one hand, there are nutritional problems such as protein energy deficiency (PEM), iron deficiency anemia, vitamin A deficiency (VAD), and iodine deficiency disorders (IDD).
On the Author: Rosalinna Rosalinna.
Paryono Paryono.
Ari Kurniarum.
Vol.
5 Edisi 1 .
Juni 2025 Journal of Maternal and Child Health Sciences (JMCHS) Volume 5.
Edition 1.
June 2025 DOI: 10.
36086/maternalandchild.
other hand, obesity, especially in urban areas, is a more common nutritional problem (Bose.
Mondal and Sen, 2.
To combat child malnutrition, especially in developing regions, supplementary feeding programs using local foods focus on addressing cultural preferences and malnutrition by preparing nutritious foods that are easily accessible and appealing to children (Dharmaraj et , 2.
Many studies have shown that such programs are successful in improving children's nutritional status and growth metrics.
a 14-day supplementary feeding program using local foods resulted in weight gain in 88% of participating toddlers, with 18% showing improved nutritional status.
The program was well received by the children, with 74% reporting liking for the food provided.
Despite the success of these programs, challenges such as caregiver education and food preparation skills remain.
In Tangerang, only 28% of mothers prepared their own supplementary food, highlighting the need for skills development (Krina and Purnamawati, 2.
As an effort to overcome these problems, one important intervention strategy is through the provision of additional food made from local foods that are nutritious, easy to make, and liked by children (Ariesthi et al.
, 2.
Cookies, as a form of solid food and have a distinctive taste, can be used as an alternative nutritious additional food.
Cookies made with sweet potato and tempeh flour offer a balanced nutritional profile, providing carbohydrates and protein.
These cookies meet most of the Recommended Dietary Allowance (RDA) for adolescents, making them suitable for malnourished individuals (Septiana.
Nuhrlawangsa and Rahardjo, 2.
Corn flour has been identified as a viable substitute for wheat flour in cookies, offering a good nutritional profile and functional characteristics.
It can replace wheat flour by 50-80% while maintaining high consumer acceptance due to its favorable organoleptic properties (Suarni, 2.
Tempeh is a source of vegetable protein from fermented soybeans which is rich in essential amino acids, while green beans are rich in iron, vitamins, and antioxidants such as isoflavones which function to ward off free radicals (Yoshari et al.
, 2.
Based on the Health Profile of the Klaten Regency Health Office 2023 , the prevalence of toddlers with malnutrition status reached 9.
7%, placing Klaten in 10th position out of all regencies in Central Java.
In Polanharjo District, the prevalence of toddlers with malnutrition even reached 28.
2%, ranking second highest in the region.
Several studies have evaluated the use of local food ingredients in improving children's nutritional status, but most studies still focus on the nutritional content or effectiveness of providing additional food in conventional forms .
orridge, steamed rice, and so o.
Meanwhile, innovations in food products that are more attractive and adaptive to children's tastesAisuch as cookies based on local ingredients .
orn, green beans, and tempe.
Aiare still very limited, both in terms of empirical research and field interventions.
Furthermore, there have not been many studies that specifically examine the impact of consuming cookies made from a combination of corn, green beans, and tempeh on changes in the nutritional status of toddlers, especially in the context of areas with a high prevalence of malnutrition such as Klaten Regency.
Therefore, this study attempts to fill the gap in the literature by comprehensively examining the effect of consuming locally sourced cookies on the nutritional status of toddlers.
This condition shows the importance of intervention efforts based on local foods that are attractive, nutritious, and easy for toddlers to consume.
This study aims to determine the Effect of Consumption of Corn.
Green Bean, and Tempeh Cookies on the Nutritional Status of Toddlers.
Author: Rosalinna Rosalinna.
Paryono Paryono.
Ari Kurniarum.
Vol.
5 Edisi 1 .
Juni 2025 Journal of Maternal and Child Health Sciences (JMCHS) Volume 5.
Edition 1.
June 2025 DOI: 10.
36086/maternalandchild.
METHOD .
PT)
This study uses a quantitative approach with a pre-experimental one group pretestposttest design , namely observations were made on one group of research subjects before and after being given treatment without a comparison group.
This design was chosen to directly determine the effect of the intervention of providing additional food in the form of corn, green bean, and tempeh cookies .
bbreviated as JAKATE cookie.
on changes in the nutritional status of toddlers.
The research was conducted in three stages.
First, the preparation stage , including making a proposal, processing research permits from the village government and health center, and requesting ethical approval from the Health Research Ethics Committee (Ethics Number :
794/VII/HPEC/2.
Cadre training was conducted to assist in product distribution and field data collection.
Second, the implementation stage, starting with initial data collection .
which includes measuring the weight and height of toddlers to determine the initial nutritional status based on the anthropometric index from WHO (Ministry of Health of the Republic of Indonesia.
, 2.
Then, toddlers were given an intervention in the form of 100 grams of JAKATE cookies per day for 14 days as a snack.
Each consumption was monitored and recorded through a compliance observation sheet.
Third, the re-measurement stage .
was carried out on the 15th day to see changes in nutritional status after treatment.
The tools and materials used in this study included a digital children's scale .
ccuracy A0.
01 k.
, a portable height meter .
ccuracy A0.
1 c.
, and an observation form and respondent identity sheet.
JAKATE cookies are made from local ingredients, namely corn flour, green beans, and fermented tempeh according to the Ministry of Health's balanced nutrition guidelines .
Primary data were collected from direct measurements in the field, consumption documentation, and the results of brief interviews with mothers of toddlers.
The sampling technique used purposive sampling with inclusion criteria: toddlers aged 24Ae59 months with malnutrition status and willing to participate in the intervention.
Toddlers with allergies to cookie ingredients or chronic diseases were excluded from the sample.
Data analysis was conducted in two stages.
Univariate analysis was used to describe the characteristics of the research subjects .
ge, weight, height, and nutritional statu.
, which were displayed in the form of a frequency distribution table.
Meanwhile, to determine the effect of JAKATE cookies intervention on the nutritional status of toddlers, bivariate analysis was used with the Paired t-Test, because it compares two measurements in the same group.
Significance was determined at a p value <0.
RESULT
The study was conducted in Ngrundul Village.
Kebonarum District.
Klaten Regency involving 50 toddlers.
Data were collected through anthropometric measurements of toddlers and filling out observation sheets for Tempe Brownies consumption.
The data were then processed using a computerized system.
The results of the analysis include the frequency distribution of toddlers describing age.
Gender, body weight data, height of toddlers.
Frequency distribution of toddler mothers including age, mother's education level, mother's employment The results of the data analysis are as follows:
Table 1 Frequency Distribution of Characteristics of Toddlers in Ngrundul Village.
Kebonarum Klaten Author: Rosalinna Rosalinna.
Paryono Paryono.
Ari Kurniarum.
Vol.
5 Edisi 1 .
Juni 2025 Journal of Maternal and Child Health Sciences (JMCHS) Volume 5.
Edition 1.
June 2025 DOI: 10.
36086/maternalandchild.
Characteristics Frequency .
Percentage (%) Age 0-24 Months 25-50 Months Gender Man Woman Amount Source: Primary Data from Ngrundul Kebonarum Village .
Table 1 shows that out of 50 respondents, most of them are aged 25-50 months, as many as 37 respondents .
%).
The gender of the toddlers is mostly female, as many as 28 respondents .
%).
Table 4.
2 Frequency Distribution of Characteristics of Mothers in Ngrundul Village.
Kebonarum.
Klaten Characteristics Frequency .
Age Healthy Reproductive Age Healthy Non-Reproductive Age Education Base Intermediate College Work Work Doesn't work Amount Percentage (%) Source: Primary Data from Ngrundul Kebonarum Village .
Table 2 shows that most mothers with healthy reproductive age are 41 respondents .
%).
The majority of mothers' education is secondary education as many as 34 respondents .
%) and most mothers do not work 39 respondents .
%).
Table 3 Frequency Distribution of Weight and Height Gain of Toddlers in Ngrundul Village.
Kebonarum.
Klaten Variables Frequency .
Weight Gain Go on Still Height Increase ?Body Go on Still Amount Percentage (%) Author: Rosalinna Rosalinna.
Paryono Paryono.
Ari Kurniarum.
Vol.
5 Edisi 1 .
Juni 2025 Journal of Maternal and Child Health Sciences (JMCHS) Volume 5.
Edition 1.
June 2025 DOI: 10.
36086/maternalandchild.
Source: Primary Data from Ngrundul Kebonarum Village .
Table 3 shows that some toddlers' BB experienced an increase, namely 39 respondents .
%).
The height of most respondents also increased by 30 respondents .
%).
Table 4 Average Weight and Height of Toddlers Before and After Being Given JKT Cokkies Variables BB increase Go on Still TB increase Go on Still Amount Frequency .
Percentage (%) Source: Primary Data from Ngrundul Kebonarum Village .
Table 4 shows that the average weight of toddlers before being given brownies tempe 48 after being given brownies tempe became 10.
The height of toddlers before being given brownies tempe was 84.
11 after being given brownies became 85.
Table 5 Effect of Giving Brownies Tempe on Toddler Nutritional Status Variables BB before BB after TB before TB after Median (Min-Ma.
,97,.
P value 0,000 Table 5 shows that the results of the statistical test using Wilcoxon obtained a p value = 000 for weight gain and a A value = 0.
030 for height gain.
This means that Ha is accepted and Ho is rejected, so there is an effect of giving tempeh brownies on the nutritional status of The results must summarize the findings scientifically, not provide very detailed data.
Present the main findings if the article is in the form of research results.
Please highlight the differences between the results or findings that you found compared to previous publications by other The results should be clear, concise, and relevant to the objective of the paper.
The figures and the tables must be appropriately self-explanatory, correctly labeled, statistically accurate, and correct statistical test .
DISCUSSION